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The form requests identity and contact information, U.S. citizenship or residency status, first-generation and disability-related eligibility indicators, and prior involvement in educational programs. It also captures income verification method and taxable income totals. 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All information requested must be completed  \nfor the application to be considered. Also please use black ink only and print legibly.  \nSTEP 1: Personal Information  \n1. Name:   Last First Middle Initial Suffix  \n2. Social Security \\#:   3. School ID \\#:   \n4. Mailing Address:   \nStreet Apt\\# City State Zip  \n5. Cell Phone \\#:(   )   Home Phone \\#: (  )  Other Cell Phone\\#:(   )   \n6. E mail Address:  School E mail: (Please Print Legibly) (Please Print Legibly)  \n7. Date ofBirth:   Gender:  Female  Male  \n8. Class Level: Freshman (1st year in college)  Freshman (less than 30 units) Sophomore (more than 30 units)   \n9. Are you Hispanic?  Yes  No  \nWhat ethnicity do you identify with? (Please check all the boxes that best describe you)  \nAmerican Indian or Alaskan Native Native Hawaiian/Pacific Islander  \nAsian American or Asian  \nNative African or African American  \nCaucasian (white)  \n10. Please check all the social networking sites you use:  Facebook  Twitter Other:   N/A  \nInstagram  \nSTEP 2: Eligibility  \nPlease answer the following questions about yourself. (If answer yes to question 1, skip to question 3)  \n1. Are you a U.S. Citizen? Yes  No   \n3. I am a first generation college student  \n(Please see Step 5)  \nYes  \n2. Are you a Permanent Resident? No  4. I am registered disabled student  \nYes  \nYes  \nNo  \nNo  \nDependent Student Claimed by parent(s) or guardian  \nIndependent Student (under ages 24, considered independent if: married, a veteran or active military, have children who receive more than half of their support from you, if an orphan or ward/dependent of the court.)  \nRevised 6/6/2013 1  \nSTEP 3: Participation  \nPlease indicate which Educational Programs you have participated in (Check all that apply, write participant years.  \nIf you did not participate in the following programs mark N/A) .  \n Talent Search    GEAR UP    Upward Bound   \n AVID    TRiO/SSS    EOPS   \nSTEP 4: Verification of Income  \nInstructions for providing verification of income, please submit the following:  \n• If parent(s), guardian(s), or student file a Federal 1040 Income Tax form: provide a signed copy of pages 1 & 2 of the most recent form showing the number of exemptions claimed and the taxable income.  \nCaution‐ Be sure to provide the form covering the most recent tax year.  \nThe USDE uses the size of the student’s family’s taxable income to determine income eligibility.  \n• If parent(s) or guardian(s) receive Social Security payments (SSI, Disability, etc.) request verification of monthly benefits from your Social Security office.  \n• If you cannot provide any of the above sources of income verification, please attach a letter stating: the parents/guardians/ student’s yearly income, the source of income, and current number in the household, along with a parent/guardian signature and date.  \nMUST BE FILLED OUT:  \nTotal Taxable family income (line 43 on the 1040 form) reported on Federal Income Tax Return during the mostrecent tax year:  Total number of people supported by this income:    \n$  \n(Please print amount in box)  \nIf you did not file an income tax return for the most recent tax year, please indicate your source of income by placing a check in the appropriate box (es) below.  \n  Disability   Social Security   Unemployment   Veterans Benefits  \nStep 5: Family Information  \nTo be eligible as a first generation student, neither of your parents/guardians possesses a bachelor’s degree (also known as a “four‐ year degree”) .  \n\n|  | Elementary | High School Diploma | College Degree |\n| --- | --- | --- | --- |\n| Father | 1 2 3 4 5 6 7 8 | 9 10 11 12 yes no | 1 2 3 4 yes no |\n| Mother | 1 2 3 4 5 6 7 8 | 9 10 11 12 yes no | 1 2 3 4 yes no |\n\nSTEP 6: Educational Information  \nPlease answer the following questions about yourself  \n1. Did you submit your FASFA application? Yes  Date Submitted (dd/mo/yr)___","cbCaidiGDGAFpRgb","https://ap.wps.com/l/cbCaidiGDGAFpRgb","pdf",205179,"English","# STEP 1: Personal Information\n# STEP 2: Eligibility\n# STEP 3: Participation\n# STEP 4: Verification of Income\n# STEP 5: Family Information\n# STEP 6: Educational Information\n# STEP 7: Personal Questions","[{\"question\":\"What information is required in Step 1 (Personal Information)?\",\"answer\":\"Step 1 collects name, social security number, school ID, mailing address, phone numbers, email addresses, date of birth, gender, class level, and whether you are Hispanic, plus ethnicity and social networking sites used.\"},{\"question\":\"What eligibility details does Step 2 ask for?\",\"answer\":\"Step 2 asks about U.S. citizenship, permanent residency, first-generation status, and whether the applicant is a registered disabled student. It also distinguishes dependent versus independent student status.\"},{\"question\":\"How is income verification handled in Step 4?\",\"answer\":\"Step 4 instructs applicants to submit a signed copy of the most recent federal 1040 pages 1–2 for claimed exemptions and taxable income, request Social Security benefit verification if applicable, or attach a letter stating yearly income, income source, household size, and signatures. It also requires the total taxable family income amount or a check of the appropriate income source box if no tax return was filed.\"}]","TRiO/SSS Participant Application - Application Form - Personal Information to Personal Questions | PDF",1789791281]